Individual
LAURA KAY SMITH
Active
Individual
LAURA KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
Update your record
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